Claims Specialist (Full-Time, Remote)

ClaimsFirst Services, a Third-Party Administrator, is seeking a highly capable Claims Specialist to join our Professional Liability Claims team. This role will adjudicate EPL and Private D&O claims for our clients. The primary duties and responsibilities of the role are: • Investigating claims promptly and thoroughly. • Analyzing claims forms, policies and endorsements, client instructions, and other records to determine whether the loss falls within the policy coverage. • Working independently under minimal technical direction and within significant limits and authority. • Analyzing claims forms, policies and endorsements, client instructions, and other records to determine whether the loss falls within the policy coverage. • Properly setting claim reserves, identifying, assigning, and coordinating the assignment and coordination of expertise resources to assist in case resolution. • Preparing reports for file documentation. • Reporting to senior management and underwriters on claims trends and developments • This position is fully remote. Core qualifications and requirements for this position include: • A practical knowledge of adjudicating management and professional liability claims. • A minimum of two years’ experience adjudicating management and professional liability claims with exposure of $100,000 or more. • Bachelor’s degree from an accredited university required; a JD is strongly preferred. • Must possess or have ability to quickly obtain a license in each jurisdiction requiring a license to adjudicate first party claims. • Excellent evaluation, strategic skills and claim negotiation with a customer focus. • Effective time management skills and ability to prioritize workload while handling multiple tasks and deadlines. • Must work independently and demonstrate the ability to exercise sound judgment. • Must have excellent communication skills. Education: • Doctorate (Required) Experience: • D&O: and EPL - 2 years Work Location: Remote Job Type: Full-time Pay: $85,000.00 - $95,000.00 per year Benefits: • Flexible schedule Work Location: Remote

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